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Response to treatment. (a) Hurley stage 3 disease involving the intermammary area. (b) Significant improvement seen after 12 doses of adalimumab and surgical excision of intermammary nodules. (c) Hurley stage 3 disease involving the perineal region and groin resulting in significant disfigurement. (d) Improvement of lesions in groin seen after 20 doses of adalimumab and 3 sittings of serial excision of nodules
